Professional paper

Nova suradnja u općoj bolnici: iskustva prvog kliničkog farmakologa i kliničkog farmaceuta

Maja Ilijanić Samošćanec ; Opća bolnica Karlovac
Mateja Miletić ; Opća bolnica Karlovac

Abstract

Enhanced Recovery after Surgery (ERAS) protocols are multimodal perioperative
care pathways designed to achieve early recovery for patients undergoing
major surgical procedures. These evidence-based care improvement protocols
have become standard for multiple surgical procedures in urology, gynaecology,
orthopaedic and breast surgery. Over the last two decades these protocols
have gained popularity in obstetrics due to improvements in both maternal
and neonatal outcomes. Caesarean Section ERAS protocols are increasingly
promoted and have now become widely accepted mostly in high income countries.
The ERAS for Caesarean Section covers the entire perioperative period;
including preoperative, intraoperative, and postoperative periods, based on
multimodal treatments given by a multidisciplinary team consisting of obstetricians,
anesthesiologists, midwives, nurses and neonatologists. Barriers for
ERAS implementation are lack of manpower and managerial support, poor
communication and collaboration among perioperative services and a resistance
to shifting away from outdated practices. ERAS protocols should therefore
be adapted to incorporate local hospital policies and practices, adjusted to
suit obstetric patients and regularly reviewed and updated.

Keywords

klinička farmakologija; klinička farmacija; farmakoterapija; sigurnost bolesnika

Hrčak ID:

351489

URI

https://hrcak.srce.hr/351489

Publication date:

7.10.2026.

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